JP7158435B2 - Medical examination vehicle, medical examination system, and self-examination system - Google Patents

Description

TECHNICAL FIELD The present invention relates to a health checkup car health checkup system and a self health checkup system that can perform a health checkup at a destination.

For the purpose of early detection of diseases, prevention of lifestyle-related diseases, and the like, research and development have been conducted on medical examination vehicles capable of performing health examinations at destinations.
Patent Document 1 (Japanese Patent Application Laid-Open No. 2014-149746) grasps the operating state of the medical examination equipment for performing a group medical examination, equalizes the operating state in order to eliminate the bias in the load of the medical examination equipment, and thereby improves the overall system It discloses a mass screening system that prolongs the lifespan of .

The mass examination system described in Patent Document 1 includes a plurality of examination terminals that measure examination data for each examination item of the collective examination, and a data server that collects and stores examination information including terminal operation information and examination data from the examination terminals. Analyze the terminal operation information of the data server, manage the operation / non-operation of the examination terminal so that the operation time of the examination terminal is uniform, and the examination terminal so that the operation time of each examination item of the examination terminal is uniform and a control terminal for managing the assignment of examination items to.

Patent Document 2 (Japanese Patent Application Laid-Open No. 2011-126504) discloses an examination vehicle that is space-saving and can be easily modified to install an entrance and steps on the rear side of the vehicle.

The examination car described in Patent Document 2 is arranged inside the vehicle, and has an underfloor space in which the underfloor equipment of the vehicle is stored, a floor surface that separates the abovefloor space in which medical examination is performed, and a lower end along the floor surface. A first door that is arranged behind the rear wheels of the vehicle, is configured to be openable and closable by rotating about the lower end thereof, and is used as a step in the open state, and a second door that is arranged in front of the first door. 2 doors.

Patent Document 3 (Japanese Patent Application Laid-Open No. 2007-301377) discloses a patrol mobile type that allows a person who wishes to undergo a medical examination regularly or irregularly, and furthermore, to receive a comprehensive medical examination locally. A screening system is disclosed.

The patrol mobile medical examination system described in Patent Document 3 is a mobile medical examination vehicle system equipped with an ultrasonic examination means and an X-ray direct imaging examination means, and long-term health monitoring of an individual examiner through medical examination for each inspection item of the medical examination. In an itinerant mobile health checkup system for regularly or irregularly diagnosing health conditions for examinees comprising a consistent system of:1. 2. communication control means for transmitting data read out from medical examination results via a communication line; 2. communication line means through which data is transmitted by the communication control means; 4. accumulating and recording means for each examinee, in which data transmitted via a communication line is received by the communication control means of the examination car headquarters and the received data is recorded; 4. communication control means for transmitting current and past or present data read out from the accumulation recording means to the data interpreter via communication line means; 5. Communication line means through which data is transmitted to the radiologist by the communication control means; 7. Radiogram interpreter's recording means for receiving data transmitted via a communication line and recording the received data by the radiogram interpreter's communication control means; 8. data conversion means for facilitating interpretation of the data read out from the recording means; When the data displayed by the display means for displaying the data read out from the conversion means is necessary, the location where the radiologist has judged is marked, and the findings of the radiologist are recorded together with the displayed data. 9. recording means; 10. Communication control means for transmitting data read out from the recording means via a communication line. 11. communication line means through which data is transmitted by said communication control means; The data transmitted through the communication line means is received by the communication control means of the medical examination car headquarters, and the received data is recorded by the examinee accumulation recording means for each examinee.

Patent Document 4 (Japanese Unexamined Patent Application Publication No. 2004-237084) discloses a health checkup system, examination method, and health checkup vehicle capable of quickly summarizing the results of health checkups.

The health checkup system described in Patent Document 4 includes a blood test computer connected to a blood test apparatus that tests collected blood and outputs blood test data, and a blood test computer that tests and measures parts other than blood and outputs test measurement data. A test and measurement computer connected to a test and measurement device for output, a diagnostic computer equipped with diagnostic data input means for inputting diagnostic data as a result of examination by a doctor, a blood test computer, a test and measurement computer, and a diagnostic computer, respectively. , an identification information acquisition means for acquiring identification information for identifying each patient, a comparison data file storing blood test reference range data, and blood test data, test measurement data, and diagnostic data are stored. A blood test data set comprising storage means for storing test data files, a blood test computer, a test measurement computer, and a main server connected to a diagnostic computer, wherein the blood test computer obtains the blood test data from the blood test apparatus. acquisition means; transmission means for transmitting the acquired blood test data to the main server in association with the identification information acquired by the identification information acquisition means connected to the blood test computer; The inspection and measurement computer includes receiving means for receiving the associated additional inspection item, the inspection and measurement data acquisition means for acquiring inspection and measurement data from the inspection and measurement device, and transmitting the acquired inspection and measurement data to the inspection and measurement computer. transmission means for transmitting the identification information acquired by the connected identification information acquisition means to the main server in association with the identification information, the diagnostic computer receiving the identification information from the main server and the blood test data and test measurement data associated with the identification information; and transmission means for transmitting the diagnostic data input by the diagnostic data input means to the main server in association with the identification information acquired by the identification information acquisition means connected to the diagnostic computer. The server includes comparison data storage means for storing reference range data of blood tests performed by the blood test apparatus in a comparison data file in association with each test item of the blood tests, blood test data transmitted from the blood test computer, inspection data storage means for storing inspection measurement data transmitted from the inspection measurement computer and diagnostic data transmitted from the diagnostic computer in an inspection data file in association with identification information; The blood test data stored in the data file and the reference range data stored in the comparison data file are read out, compared for each test item, and when the blood test data is not included in the reference range of the corresponding reference range data comparison means for judging abnormal values, adding abnormal value data to the read blood test data and writing them into a test data file; , the test data file associated with this identification information is sent to the diagnosis computer together with the identification information, and if abnormal value data is included, the test item to be added is sent to the blood test computer in association with the identification information. and re-inspection processing means.

Patent Document 5 (Japanese Patent Application Laid-Open No. 2005-224448) discloses a radiation image recording apparatus capable of shortening the time required for setting recording conditions of a radiation image and efficiently performing recording processing.

The radiation image recording apparatus described in Patent Document 5 is a radiation image recording apparatus that irradiates a recording medium provided in a recording unit with radiation output from a radiation source through a subject and records a radiation image on the recording medium. , a body type information detection unit that detects body type information of a subject, a recording condition setting unit that sets recording conditions for a radiation image according to the body type information, and a control unit that controls a radiation source and/or a recording unit according to the recording conditions; , is provided.

Patent Document 6 (Japanese Patent Application Laid-Open No. 2002-306430) discloses a traveling mobile examination system that allows a person who wishes to undergo an examination regularly or irregularly to receive a comprehensive examination at the site. is disclosed.

The patrol mobile examination system described in Patent Document 6 is an examination means for regularly or irregularly diagnosing the health condition of an examinee. The examination is performed at the site of the examiner, and early detection of diseases and lifestyle-related diseases is performed by judging images taken with highly accurate equipment.

Patent Literature 7 (Japanese Utility Model Publication No. 3-100535) discloses a combination of a medical examination vehicle with an examination instrument device and a large opening door used for the device.

The large-scale deployment door described in Patent Document 7 is a large-scale deployment door devised so that a large number of medical examination instruments can be installed using a part of the side surface of a large automobile as a floor.

Patent Document 8 (Japanese Utility Model Publication No. 63-13104) discloses an X-ray examination vehicle.

The X-ray examination car described in Patent Document 8 is an X-ray examination car in which two X-ray devices are installed in one vehicle. An X-ray room is defined, and an X-ray device is installed in each of these X-ray rooms.

Patent Document 9 (Japanese Utility Model Publication No. 61-28586) discloses a field surgery vehicle set.

The field surgery set described in Patent Document 9 includes an operation vehicle equipped with surgical equipment on a box-shaped cargo bed that has left and right side walls that can be advanced and retracted in the left and right direction and that is expanded left and right by a driving device, diagnostic equipment, and surgical equipment. It consists of a surgery preparation vehicle equipped with instruments and a sterilization vehicle equipped with sterilization equipment. It is characterized in that it is releasably connected to the

Patent Document 10 (Japanese National Publication of International Patent Application No. 2007-537097) discloses a mobile type that can treat a plurality of patients and can be transported on roads without requiring a large-scale transportation means. of medical facilities are proposed.

The mobile medical facility described in US Pat. The trailer defines a floor area and has at least first and second configurations. In a first configuration, the floor area is reduced to allow transportation of the trailer over public roads. In a second configuration, the floor area of the trailer is extended and is large enough to support multiple beds for treating patients. In some embodiments, the floor area in the second configuration can have at least twice the size of the floor area in the first configuration.

JP 2014-149746 A JP 2011-126504 A JP 2007-301377 A Japanese Unexamined Patent Application Publication No. 2004-237084 JP 2005-224448 A JP-A-2002-306430 Japanese Utility Model Publication No. 3-100535 Japanese Utility Model Publication No. 63-13104 Japanese Utility Model Publication No. 61-28586 Japanese Patent Publication No. 2007-537097

As described in Patent Documents 1 to 8, various developments have been made on health checkup systems or health checkup vehicles. In particular, the medical examination vehicle provided with a large-sized deployment door described in Patent Document 7 is an epoch-making device.
However, the provision of the large unfolding door has caused problems such as a narrow space for the examinee to enter and exit, and a large unfolding door that significantly increases the weight of the vehicle. Furthermore, since medical examination vehicles are used to perform medical examinations at their destinations, it is desirable that they move smoothly and can be handled by a small number of people. In addition, there were many cases in which multiple medical examination vehicles were used instead of a single vehicle.

Furthermore, medical examination vehicles have a limited loading space for inspection equipment, and some inspection equipment, such as a chest X-ray measuring device, is required to be shielded by law, such as a measuring device using radiation.
Therefore, in Patent Document 9, it is proposed to increase the installation space for medical instruments in the vehicle. and a sterilization vehicle equipped with sterilization equipment.
Further, in the medical facility 10 described in Patent Literature 10, no consideration is given to the stability of the vehicle during travel.
In addition, in the conventional mobile health checkup, the health checkup was performed using two vehicles, a health checkup car and an X-ray car.

A main object of the present invention is to provide a medical examination vehicle and a medical examination system having an extension mechanism.
Another object of the present invention is to provide a health checkup vehicle and health checkup system having an extension mechanism and establishing a weight balance for easy movement.
Another object of the present invention is to provide a health checkup vehicle and a health checkup system that can complete a health checkup in one vehicle.
Still another object of the present invention is to provide a health checkup vehicle and a health checkup system that are easy to move or handle by arranging functions in a 13t vehicle.
Still another object of the present invention is to provide a lightweight health checkup car and health checkup system in order to secure a passenger capacity of 6 people for a 13t vehicle.
Still another object of the present invention is to provide a self-examination system that enables a person to be examined to smoothly perform a self-measurement self-examination in a health examination using a health examination vehicle or at a health examination facility. It is to be.

(1)
A medical examination vehicle according to one aspect is a medical examination vehicle made up of a movable vehicle, and is provided with a movable extension mechanism movable in a lateral width direction from a central portion of the vehicle, and a rear portion of the vehicle in a traveling direction. An X-ray measuring unit is arranged at the front of the vehicle, and a generator is arranged at the front in the traveling direction of the vehicle.

In this case, the space inside the vehicle can be widened by the movable extension mechanism from the central portion of the vehicle to the side. In addition, by separately arranging the heavy generator and the X-ray measuring section, which must be surrounded by a lead plate, on the front and rear of the vehicle, the extension mechanism and the overall balance of the vehicle can be balanced. Specifically, if both are arranged at either the front or the rear, the weight balance of the vehicle will be poor, which will interfere with running and operation. In the present invention, these can be prevented.

In the conventional mobile health checkup, the health checkup was performed using two machines, an electrocardiogram car and an X-ray car for taking X-rays. That is, since the X-ray measuring device is a device such as a power supply device that is heavy and bulky, conventionally, it was not possible to provide an electrocardiogram measuring section and an X-ray measuring section in a vehicle provided with an extension mechanism. However, as in the present invention, the extension mechanism is limited to the central portion of the vehicle, the generator is arranged in the front portion of the vehicle, and the X-ray measurement section is arranged in the rear portion of the vehicle. It can be a medical examination vehicle that can complete the

(2)
A medical examination vehicle according to a second aspect of the present invention is a medical examination vehicle according to one aspect, the medical examination vehicle comprises a vehicle capable of moving on a road, and is equipped with a body measurement unit, a blood pressure measurement unit, an eye sight measurement unit, a blood pressure measurement unit, and a A medical examination vehicle including at least one medical examination unit selected from the group consisting of a measurement unit, an audiometry unit, a blood collection unit, and an examination unit, an electrocardiogram measurement unit, and an X-ray measurement unit, wherein the extension mechanism is , at least the central portion of the vehicle, including the floor panel, side walls and ceiling panel, may be moved in the width direction.

In this case, an electrocardiogram measurement unit is arranged at the front of a vehicle capable of traveling on a road, an X-ray measurement unit is arranged at the rear of the vehicle, a medical examination unit is arranged at the center of the vehicle, and the front and rear of the vehicle are arranged. By arranging a relatively heavy generator and an X-ray measuring unit in the vehicle, it is possible to improve the running stability of the vehicle.

When a medical checkup is performed with the vehicle stationary, only the central portion of the vehicle is moved in the width direction of the vehicle by the extension mechanism without moving the front and rear portions of the vehicle, so the structure of the vehicle is relatively simple. and can reduce production costs.
In addition, moving the central portion of the vehicle in the width direction of the vehicle expands the space in the central portion of the vehicle. It becomes easier for people, nurses, etc. to move around in the car, and efficient medical examinations can be carried out. The medical equipment in this case indicates a height and weight scale, a blood pressure monitor, a vision meter, a hearing test device, and the like, which are used for medical checkups.

(3)
A medical examination vehicle according to a third aspect of the invention is the medical examination vehicle according to the first aspect or the second aspect, wherein the movable extension mechanism is provided horizontally in order to protrude laterally from the central portion of the vehicle. a plurality of struts, an actuator for moving the plurality of struts in the extension mechanism, a rail section for horizontally sliding the struts, and a control section for operating the actuators, wherein the control section The plurality of columns may be slid along the rail portion by driving the actuator so that the central portion protrudes sideways to expand the space inside the vehicle.

In this case, the strut that supports the central portion of the vehicle is made of metal. Since the central portion of the vehicle is supported by a plurality of struts, it is possible to form a solid space inside the vehicle. As a result, there is no problem in durability even if there are a plurality of persons to be examined. In addition, since the struts are arranged in the central portion of the vehicle and along the width direction of the vehicle, the weight balance of the vehicle is improved and the running stability is improved.

(4)
A medical examination vehicle according to a fourth aspect of the present invention is the medical examination vehicle according to the third aspect of the invention, wherein the length dimension of the plurality of supports is equal to the width dimension of the vehicle and may be provided along the width direction. .

In this case, the width of the vehicle can be kept constant while the vehicle is moving. Even in this case, it is possible to balance the left and right of the vehicle. Moreover, when performing a medical checkup, the central portion of the vehicle can be protruded from the side surface of the vehicle body.

(5)
A medical examination vehicle according to a fifth aspect of the invention is the medical examination vehicle according to any one of the first aspect to the fourth aspect, wherein a detachable One or more regions may be formed, and a device may be provided that allows the subject to self-measure in the one or more regions.

In this case, the person to be examined can use the device to measure one or more detachable areas. Also, by forming a detachable area, it is possible to easily change the type of health checkup.

(6)
A medical examination vehicle according to a sixth aspect is the medical examination vehicle according to the first aspect to the fifth aspect, wherein any one of the medical examination unit, the X-ray measurement unit, and the electrocardiogram measurement unit includes a A light notification unit that detects the presence or absence of a person entering the room and notifies the person to the outside of the area with light, a sound notification unit that notifies the person to be examined to the area by sound from a directional speaker, and to the person to be examined. and an explanation display section for instructing the movement of the medical examinee.

In this case, at least one of an optical notification unit, an audio notification unit, and an explanation display unit is included. As a result, the examinee can move between a plurality of areas according to the light notification section, the sound notification section, and the explanation display section.

(7)
A medical examination vehicle according to a seventh invention is the medical examination vehicle according to the sixth invention, wherein at least one of the medical examination units is provided with a sensor for detecting the operation of the medical examinee on the medical device. and a sound notification unit and/or an explanation display unit, and when the sensor detects an operation of the medical device by the subject, the control unit displays an explanation corresponding to the operation on the explanation display unit, or , may be notified from the sound notification unit.

In self-examination using conventional medical equipment, it is difficult to provide simple and timely explanations by voice, animation, etc. in conjunction with the operation of the examinee, such as starting measurement. The medical examiner was often confused.
However, electronic modifications to each medical device itself cannot be done under the "Act on Securing Quality, Efficacy and Safety of Pharmaceuticals and Medical Devices" and under device maintenance contracts. It was not easy to detect the operation of the examiner.
On the other hand, in the medical examination car according to the seventh invention, a sensor for detecting that the medical examinee has operated the medical equipment is retrofitted to the medical equipment. Without violating the Act on Securing Efficacy and Safety, etc. or equipment maintenance contracts, we can provide timely explanations linked to the operation of the examinee, and the examinee can smoothly perform self-health care. can do an examination.

(8)
A health checkup system according to another aspect uses the health checkup vehicle described in claims 1 to 7 to allow self-checkup for a part of a plurality of health checkup items.

In this case, some of the checkup items can be self-checked, so it is possible to reduce the number of staff members of the checkup vehicle.

(9)
A self-checkup system according to still another aspect includes a medical device, a control unit for controlling the medical device, and a control unit for controlling the medical device, in at least one of the self-checkup units in which the subject can measure himself/herself. including a retrofitted sensor that detects an examiner's operation, an audio notification unit and/or an explanation display unit,
When the sensor detects an operation of the medical device by the person being examined, the control unit displays an explanation corresponding to the operation on the explanation display unit, or notifies it from the sound notification unit.

In this case, for example, even in health checkups other than the health checkup vehicle, such as on-site health checkups and health checkups in health checkup facilities, the subject can smoothly perform self-checkups.

(A)
The medical examination vehicle is further provided with an entrance for the examinee, and the entrance is provided on the forward side of the position of the extension mechanism in the traveling direction. In this case, since the rail portion of the extension mechanism and the stepped doorway interfere with each other, the problem is solved by shifting their positions.

(B)
The medical examination vehicle, wherein the electrocardiogram chamber and the entrance are arranged adjacent to each other in the width direction of the vehicle. In this case, the X-ray device cannot be greatly narrowed. The medical checkup section is provided on both sides of the vehicle and the aisle is also secured, so it cannot be narrowed. On the other hand, even if the ECG room is equipped with a bed (approximately 2m long for a person), there is enough room (0.33m) for the width of the vehicle (approximately 2.33m), so the entrance and ECG room are aligned in the width direction. Can be arranged. By arranging in this way, the space in the medical examination vehicle can be effectively utilized.

(C)
The medical examination car, wherein the X-ray measurement unit is a chest X-ray measurement unit. In this case, a conventional medical check-up vehicle (X-ray vehicle) carries measurement devices for both chest X-ray and stomach X-ray. However, by specializing in chest X-ray, the medical examination car of the present invention can simultaneously perform other medical examinations. (In the past, we used two machines, an X-ray car and an electrocardiogram car, for medical examinations.)

1 is a schematic diagram showing an example of an internal structure of a medical examination vehicle according to an embodiment; FIG. FIG. 4 is a schematic diagram showing an example of driving the movable extension mechanism of the medical examination car. 1 is a schematic diagram showing an example of a control system for a medical examination vehicle; FIG. It is a schematic enlarged view showing an example of an entrance display. FIG. 4 is a schematic diagram showing an example of an inquiry display section; It is a typical perspective view which shows an example of a body measurement part, a blood-pressure measurement part, a visual acuity measurement part, and an audiometry part. It is a schematic diagram of the body measurement part of 2nd Embodiment. It is a schematic diagram of the blood pressure measurement part of 2nd Embodiment. It is a schematic diagram of the visual acuity measurement part of 2nd Embodiment. FIG. 5 is a schematic diagram of a hearing measurement unit of a second embodiment; FIG. 11 is a schematic diagram showing an example of the arrangement of health checkup facilities according to the third embodiment;

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, embodiments of the present invention will be described with reference to the drawings. In the following description, the same reference numerals are given to the same parts. Moreover, in the case of the same reference numerals, their names and functions are also the same. Therefore, detailed description thereof will not be repeated.

(one embodiment)
FIG. 1 is a schematic diagram showing an example of the internal structure of the medical examination vehicle 100 according to this embodiment, and FIG. It is a schematic diagram which shows an example of the state projected to.

(Description of the internal area of the medical examination vehicle 100)
As shown in FIGS. 1 and 2, the medical examination vehicle 100 includes an entrance/exit area 110, a reception sample area 120, an inquiry input area 130, a body measurement unit 140, a blood pressure measurement unit 150, a vision measurement unit 160, a hearing measurement unit 170, A chest X-ray measurement unit 180 , an electrocardiogram measurement unit 190 , a blood sampling unit 210 and a diagnosis unit 220 are included.

In the present embodiment, self-checking devices are arranged in the reception sample area 120, the body measurement unit 140, the blood pressure measurement unit 150, the visual acuity measurement unit 160, and the hearing measurement unit 170 so that the subject can perform self-checks. is doing. Here, self-checking and self-checking mean that the subject can measure alone without the help of a nurse or other assistant. Body measurements refer to measurements of height, weight, body fat, and the like.
The internal configuration of the health checkup vehicle 100 can be changed according to the content of the health checkup, except for the chest X-ray measurement unit 180 and the electrocardiogram measurement unit 190 . Here, X-ray measurement refers to taking an X-ray photograph.

(Placement position of chest X-ray measurement unit 180)
A chest X-ray measurement unit 180 is provided at the rear end of the medical examination vehicle 100 according to the present embodiment. Due to its nature, the chest X-ray measurement unit 180 needs to be surrounded by a shielding plate such as a lead plate that shields X-rays. Therefore, in the general medical examination vehicle 100, there is a problem that the weight of the chest X-ray measurement unit 180 increases.

However, in the medical examination vehicle 100 according to the present embodiment, the generator 200 is provided in the front part of the vehicle, and the chest X-ray measurement part 180 with the maximum load is arranged in the rear part of the vehicle. As a result, the medical examination vehicle 100 can be driven smoothly. In particular, the chest X-ray measuring unit 180 is not only a lead plate, but also a chest X-ray measuring device (X-ray table), an X-ray high voltage generator, an X-ray tube device, an X-ray control console, and other heavy devices. , the weight is large and a large installation space is required.
Further, since chest X-ray imaging requires a large amount of power, a power generator 200 for supplying power is provided on the lower side of the front part of the vehicle.

In addition, many conventional X-ray vehicles can measure both chest X-rays and stomach X-rays. rice field. Therefore, in the medical examination vehicle 100 according to the present embodiment, X-ray imaging is specialized for chest X-ray imaging.

In this embodiment, a 13-ton class vehicle, which is excellent in maneuverability, is used. In addition, since a 13-ton class vehicle is used, the chest X-ray measurement unit 180 must be efficiently arranged in a narrow space.
In the present embodiment, a control terminal for controlling equipment of chest X-ray measuring section 180 , a power supply unit, and an uninterruptible power supply are arranged on the ceiling of medical examination vehicle 100 . In addition, the outdoor unit of the air conditioner is placed on the floor.
Furthermore, the air outlets of the air conditioner are arranged on the ceilings of the blood collection section 210 and the examination section 220 .
As described above, in the medical examination vehicle 100, the chest X-ray measuring unit 180 has been successfully made compact, and the space inside the medical examination vehicle 100 can be released.

In addition, the strut 610 of the extension mechanism 300 is mainly made of aluminum material for weight reduction. Further, the extension mechanism 300 is provided with a roof including a ceiling plate. Furthermore, the sliding doors of the blood sampling section 210 and the examination section 220 are made of a wooden material for weight reduction.
As described above, the weight of the medical examination vehicle 100 itself is reduced, and it is designed so that six or less medical examination staff can handle the medical examination.

(Arrangement position of electrocardiogram measuring unit 190)
Further, an electrocardiogram measurement unit 190 is provided behind the driver's seat of the medical examination vehicle 100 according to the present embodiment, that is, at the frontmost portion of the medical examination vehicle 100 in the running direction. The electrocardiogram measuring unit 190 is provided with a device for measuring the electrocardiogram of the subject and a bed or sofa on which the subject can lie.
In addition, by arranging the electrocardiogram measurement unit 190 above the engine, it becomes easy to arrange the medical examination unit in the present embodiment. An electrocardiogram measurement unit 190 is provided at the foremost portion in the running direction of the.

In addition, behind the driver's seat of the medical examination vehicle 100 according to the present embodiment, that is, in the lower front portion of the medical examination vehicle 100 in the running direction, the generator 200 is located at a position that does not intersect with the strut 610 of the extension mechanism 300. is provided. That is, the generator 200 is provided at the frontmost portion of the lower portion of the medical examination vehicle 100 in the running direction.

In this way, the weight of the chest X-ray measurement unit 180 and the weight of the generator 200 are arranged in a well-balanced manner in the front and rear of the medical examination vehicle 100 with the blood sampling unit 210 and the examination unit 220 as a trinity. As a result, the medical examination vehicle 100 can be stably driven, and the labor of the staff driving the medical examination vehicle 100 can be reduced.

(Arrangement position of strut 610 of extension mechanism 300)
Furthermore, the medical examination vehicle 100 according to the present embodiment has a movable extension mechanism 300 for projecting the central portion of the vehicle to the side of the vehicle. As shown in FIG. 2, the movable extension mechanism 300 drives the actuator 590 (see FIG. 3), which will be described later, so that the central portion of the medical examination vehicle 100, including the floor, side walls, and ceiling, moves sideways. As a result, the spatial space (spatial area) AR in the center of the medical examination vehicle 100 is expanded.

In the medical examination vehicle 100 according to the present embodiment, the extension mechanism 300 includes a support rail connected to the vehicle, a support 610 connected to the central portion and slidably installed on the support rail, and a support 610 extending across the width of the vehicle. and an actuator 590 for reciprocally moving in a direction.

The struts 610 are arranged along a direction perpendicular to the longitudinally elongated chassis, which is the structural body of the vehicle. The strut 610 is made of a metal frame that extends in the width direction of the vehicle and has the same dimensions as the width of the vehicle.
Further, the support rail may be connected in a direction orthogonal to a chassis that is a structural body of the vehicle and that is elongated in the front-rear direction. That is, the support rail may be formed of a metal frame that extends in the width direction of the vehicle and has the same dimensions as the width of the vehicle.
The post 610 is made of an elongated metal member, is connected to the lower part of the central part, and is installed so as to be slidable along the support rail. The extension mechanism 300 includes an actuator 590 that reciprocally moves the strut 610 in the vehicle width direction.

Specifically, as components of the movable extension mechanism 300 , three struts 610 are provided on the lower portion of the vehicle body of the medical examination vehicle 100 . That is, a support rail that is long in the width direction of the vehicle is fixed to the chassis of the vehicle, and the strut 610 is installed on the support rail so as to be movable in the width direction of the vehicle. A support 610 is connected to the lower portion of the central portion, and the central portion is slidably supported by the support 610 .
The column 610 can be movably installed on a support rail via a moving mechanism such as rollers, bearings, or the like.

A plurality of struts 610 are arranged between the electrocardiogram measurement unit 190 and the chest X-ray measurement unit 180 . In the present embodiment, the case where the number of struts 610 is three is described, but the number of struts 610 is not limited to this, and any number of struts 610 may be used as long as they are two or a plurality of four or more. may

In the present embodiment, three struts 610 are arranged at regular intervals between electrocardiogram measurement unit 190 and chest X-ray measurement unit 180. In addition, the number and spacing of the struts 610 may be appropriately set according to the load on the central portion.

Further, the extension mechanism 300 is provided directly under the floor inside the medical examination vehicle. On the other hand, the doorway for examinees is provided with stairs so that they can smoothly ascend and descend from the road surface to the medical examination vehicle. The doorway in the present embodiment is arranged on the front side of the extension mechanism 300 in the traveling direction. Thereby, interference between the doorway including stairs and the extension mechanism 300 can be prevented.
Further, the entrance and the electrocardiogram chamber in the present embodiment are arranged so as to be adjacent to each other in the width direction of the vehicle. In other words, the X-ray apparatus is large in volume, and it is difficult to provide an entrance/exit because the medical examination section is provided on both sides of the vehicle and a passage must be secured. On the other hand, while the width of the vehicle in the present embodiment is about 2.33 m, the width of the electrocardiogram room should be about 2 m. can be placed. By arranging in this way, the space in the medical examination vehicle can be effectively utilized.

In the medical examination vehicle 100 according to the present embodiment, as shown in FIGS. 1 and 2, the struts 610 have the same width as the medical examination vehicle 100 so that the medical examination vehicle 100 can be balanced left and right. formed. As a result, the medical examination vehicle 100 can be driven more stably, and the labor of the staff driving the medical examination vehicle 100 can be reduced.

In addition, in the health checkup vehicle 100 according to the present embodiment, the air conditioner (air conditioner) can be installed in the central portion of the vehicle. A wall-mounted air conditioner has been used in conventional medical examination vehicles, but in this case, there is a problem that the widened central space AR is not sufficiently filled with cold and warm air. As in the present embodiment, the ceiling-embedded air conditioner is installed in the center of the vehicle, and cool and warm air is emitted from the air conditioner in all directions, so that the widened space AR can be sufficiently supplied with cool and warm air. can be passed on. In addition, by using the ceiling-embedded type, it is possible to reduce the cramped feeling in the medical examination vehicle.

(Control system 500 of medical examination car 100)
FIG. 3 is a schematic diagram showing an example of the control system 500 of the medical examination vehicle 100. As shown in FIG.
As shown in FIG. 3, the control system 500 of the medical examination car 100 includes a control unit 510, an entrance display unit 520, an inquiry display unit 530, a human detection sensor 540, a directional speaker 550, an entry presence/absence notification unit 560, and a wireless communication unit. It includes a portion 570 , one or more tablet terminals 580 and an actuator 590 .

Control unit 510 receives information from entrance display unit 520, inquiry display unit 530, human detection sensor 540, and one or more tablet terminals 580 via wireless communication unit 570, and displays entrance display unit 520 and inquiry display. 530 , the directional speaker 550 , the entry presence/absence notification unit 560 , and one or more tablet terminals 580 . The detailed operation of the control unit 510 will be specifically described in the medical checkup explanation.

On the other hand, the control unit 510 of the control system 500 instructs the actuator 590 for the movable extension mechanism 300 to drive. As a result, the three struts 610 shown in FIGS. 1 and 2 are moved horizontally. In addition, since it is supported by the pillars 610, the floor can be held even if there are many persons to be examined on the floor.
As the actuator 590, a general hydraulic device including a hydraulic pump, a hydraulic cylinder, a control valve and the like can be adopted.
As a result, the movable extension mechanism 300 forms a large space AR.

In addition, since passages leading to the front, center, and rear parts of the vehicle are formed in the vehicle, the movement of the person to be examined is facilitated, and the examination can be performed at each examination section.
In order to support the laterally protruding central portion of the vehicle, in addition to the strut 610, a support member may be provided to support the strut 610 so as to vertically support it between the strut 610 or the central portion and the ground. good. The support member may be rotatably connected to the column 610 or the central portion by, for example, a hinge so that it can be rotated and fixed as appropriate.

Further, when the expanded space AR is reduced by the extension mechanism 300, for safety reasons, an alarm may be sounded inside the medical examination vehicle, or a human sensor may be used for the medical examination. When there is a person inside the vehicle, control may be performed so that the spatial space AR does not shrink. In addition, an emergency stop button for the extension mechanism 300 may be provided inside the medical examination vehicle in preparation for emergencies.

(Medical examination according to the present embodiment)
The medical examination vehicle 100 according to the present embodiment is configured so that general medical examinations can be performed. That is, since the medical examination vehicle 100 is equipped with the physical measurement unit 140, the blood pressure measurement unit 150, the visual acuity measurement unit 160, the hearing measurement unit 170, the blood sampling unit 210, and/or the examination unit 220, Each checkup can be received at at least one selected checkup unit.
In addition, the electrocardiogram measurement unit 190 and the chest X-ray measurement unit 180 can be used for medical checkups.
Also, in the present embodiment, a case will be described in which a person undergoing general medical examination has a plurality of tablet terminals 580 and moves in medical examination vehicle 100 while undergoing general medical examination.

FIG. 4 is a schematic enlarged view showing an example of the entrance display section 520. As shown in FIG. Here, the description will be based on the state immediately after the staff of the medical examination vehicle 100 (about 3 to 5 persons) set up the medical examination vehicle 100 and start the medical examination.

As shown in FIG. 4, the controller 510 causes the entrance display 520 to display "Please enter the room." is displayed. It should be noted that the medical examinee who enters the room receives the tablet terminal 580 when he/she enters the room and submits the specimen to the reception specimen area 120 .
Further, the control unit 510 causes the entrance display unit 520 to display "Please wait for a while. is displayed. That is, the control unit 510 can determine that the person to be examined who enters the room through the entrance display unit 520 gets into the medical examination vehicle 100 , receives the tablet terminal 580 , and is present in front of the sample reception area 120 .
In the present embodiment, the tablet terminal 580 is handed over, but it is not limited to this, and any instruction communication device (cue instruction device, etc.) such as another smartphone, beacon sensor, etc. may be used.

FIG. 5 is a schematic diagram showing an example of the inquiry display section 530. As shown in FIG.
The control unit 510 instructs the tablet terminal 580 to display “Please move to the inquiry display unit 530 and send the inquiry data. is displayed. In this case, as shown in FIG. 5, the person to be examined uses a personal mobile terminal (smartphone), an in-house personal computer (enterprise PC), or a tablet terminal 580 of the medical examination vehicle 100, and is input in advance. After confirming the medical interview items and inputting the medical interview items on the day, the data is transmitted to the medical interview display unit 530 .
In this case, the staff member A of the medical examination vehicle 100 may confirm the excess or deficiency of the medical examination items and notify the person to be examined again. It is also possible to make a determination and notify the tablet terminal 580 of the shortage.

FIG. 6 is a schematic perspective view showing an example of the body measurement section 140, the blood pressure measurement section 150, the visual acuity measurement section 160, and the hearing measurement section 170. As shown in FIG. FIG. 6 shows specific examples of the body measurement unit 140, the blood pressure measurement unit 150, the visual acuity measurement unit 160, and the hearing measurement unit 170 shown in FIGS.

The control unit 510 instructs the tablet terminal 580 to enter the physical measurement unit 140 . is displayed. In this case, when a person exists in the body measurement unit 140 of FIG. light up. That is, the subject can recognize that another person is present in the physical measurement unit 140 while confirming the instructions on the tablet terminal 580 .
When the control unit 510 receives the signal from the human detection sensor 540 and turns off the room entry notification unit 560, the tablet terminal 580 displays the message "Please enter the physical measurement unit 140." ’ may be displayed. In particular, when the sexes are different, the latter control may be adopted, and when the sexes are the same, the former control may be used to reduce the dead time.
Further, instead of the human detection sensor 540, a system may be used in which a beacon is distributed to the person to be examined and the detailed position of the person to be examined is recognized by the beacon.

Next, the control unit 510 instructs the tablet terminal 580 to say, “Please get on the device in the physical measurement unit 140 . is displayed. Alternatively, control unit 510 may cause directional speaker 550 to report the sound. This is because the directional speaker 550 is formed so that it can be heard only in the body measurement unit 140 , and sound does not leak to the blood pressure measurement unit 150 , the visual acuity measurement unit 160 , and the audiometry unit 170 . A parametric speaker can be used as the directional speaker 550 . By using ultrasonic waves, it is possible to impart sharp directivity, so that voices can be selectively transmitted only to persons to be examined who are in a specific narrow range.
Furthermore, the walls and floor of the health checkup booth can be made of sound absorbing material such as fiberglass. As a result, the sound emitted from the directional speaker 550 is not echoed, so that the sound can be selectively transmitted only to a specific medical examinee.
The control unit 510 records the height and weight data of the subject having the tablet terminal 580 .
Also, a liquid crystal panel 525 (see FIG. 7) or a display screen may be provided in the body measurement unit 140, and the measurement method may be animated or visualized on the screen or the like.

Next, the control unit 510 causes the blood pressure measurement unit 150, the visual acuity measurement unit 160, and the hearing measurement unit 170 to carry out the self-examination of the person to be examined in the same manner as the physical measurement unit 140, and moves the body. may be encouraged.
As a result, the subject leaves the physical measurement section 140 and moves to the next blood pressure measurement section 150 to measure blood pressure. Next, the subject leaves the blood pressure measuring section 150, moves to the next visual acuity measuring section 160, and looks into the visual acuity measuring device. Subsequently, the subject moves to the audiometry unit 170, puts on headphones, and performs audiometry.

In the present embodiment, the physical measurement unit 140, the blood pressure measurement unit 150, the visual acuity measurement unit 160, and the hearing measurement unit 170 are described as separate areas. When a plurality of the blood pressure measurement unit 150, the visual acuity measurement unit 160, and the hearing measurement unit 170 can be measured simultaneously, a plurality of measurements may be performed in one region.

Subsequently, the subject similarly enters the chest X-ray measuring section 180 and follows the instructions of the staff member B of the medical examination vehicle 100 to undergo an X-ray examination with the chest X-ray measuring device. Next, the subject enters the electrocardiogram measuring section 190 and follows the instructions of the staff member A on the medical examination vehicle 100 to measure the electrocardiogram.
Next, the subject enters the blood collection section 210 and follows the staff C of the medical examination vehicle 100 to collect blood. Finally, the subject enters the examination section 220 and is examined by the doctor (staff D) in the medical examination vehicle 100 .

(Health checkup system in the second embodiment)
A second embodiment will be described below. Since conventional medical devices are not mainly used for self-examination, an operation instructor or a nurse needs to be present during the examination. Therefore, when self-examination is performed using conventional medical equipment, it is difficult to provide a concise and timely explanation using voice, animation, etc. in conjunction with the examinee's operation such as starting measurement. As a result, many patients were confused.
In order to provide a timely explanation in conjunction with the operation of the subject, it is necessary to detect the operation by the subject. Of course, medical equipment includes signals corresponding to the operation of the person undergoing medical examination, but the electronic modification of each medical equipment itself is called "ensuring the quality, efficacy and safety of pharmaceuticals and medical equipment, etc. There is a problem that it cannot be done under the law concerning maintenance and equipment maintenance contracts. Also, it is not practical in terms of cost or time to custom order a modified medical device.
The medical equipment in this case indicates the height and weight scale 141, the fully automatic sphygmomanometer 151, the fully automatic optometer 161, the fully automatic hearing tester 171, and the like, which are used for health checkups.

In the health examination according to the second embodiment, when a sensor for detecting that the person being examined has operated the medical device is attached to the medical device as a retrofit, and the sensor detects the operation of the medical device by the person being examined, Control unit 510 displays an explanation corresponding to the operation on liquid crystal panel 525 or notifies it by directional speaker 550 .
In the health checkup in the second embodiment as well, the parts other than the detection of the operation of the medical examinee on the medical device and the accompanying explanation display to the examinee on the liquid crystal panel 525 are the same as those in the first embodiment. It is the same as the form.
A method of interlocking the post-installed sensor and the explanation display for each health checkup unit will be described below.

(Physical Measurement Department)
FIG. 7 is a schematic diagram of the physical measurement unit 140 of the medical examination vehicle 100 of the second embodiment. As shown in the figure, the system of the body measurement unit 140 includes a height and weight scale 141 , a pressure sensor 142 installed on the weight measurement plate of the height and weight scale 141 as a retrofit, a control unit 510 , and a liquid crystal panel 525 .
The height and weight scale 141 measures the body weight and height, or only the weight, when the subject stands on the weight measurement plate of the height and weight scale 141 .
In the physical measurement unit 140 of the second embodiment, the pressure sensor 142 detects that the subject has stepped on the weight measurement board, and the control unit 510 displays, for example, "Measurement in progress" on the liquid crystal panel 525. Straighten your back and do not move for 10 seconds. ] is displayed. By viewing the above display on the liquid crystal panel 525, the subject can perform body measurements without confusion.
Further, when the pressure sensor 142 detects that the subject has stepped on the weight measurement plate before the height and weight scale 141 returns to the zero point, the control unit 510 outputs to the liquid crystal panel 525, for example, " Please get off once. ' and then 'I'm ready. Please get on. ] is displayed.

(blood pressure measurement unit)
FIG. 8 is a schematic diagram of the blood pressure measurement unit 150 of the medical examination vehicle 100 of the second embodiment. As shown in the figure, the system of the blood pressure measurement unit 150 includes a fully automatic blood pressure monitor 151 , an optical sensor 152 retrofitted to the start button of the fully automatic blood pressure monitor 151 , and a control unit 510 .
When the subject presses the start button of the fully automatic blood pressure monitor 151, the start button blinks in green, for example, and measurement starts at the same time. In the blood pressure measurement unit 150 of the second embodiment, the optical sensor 152 detects that the start button has been pressed, and the control unit 510 outputs to the liquid crystal panel 525, for example, "Measurement will start. Do not speak and do not move. ] is displayed. By viewing the display on the liquid crystal panel 525, the subject can measure blood pressure without confusion.
In the blood pressure measurement unit 150 as well, if the subject performs an operation before returning to the zero point, the blood pressure measurement unit 150 may be notified of redoing in the same manner as the height and weight scale 141 .

(Visual acuity measurement part)
FIG. 9 is a schematic diagram of the visual acuity measuring unit 160 of the medical examination vehicle 100 of the second embodiment. As shown in the figure, the system of the visual acuity measuring unit 160 includes a fully automatic visual acuity meter 161 , a tact switch 162 retrofitted on the start button of the fully automatic visual acuity meter 161 , and a control unit 510 . It is preferable to select a tact switch 162 that turns on with approximately the same force (for example, 2.55 N) as the start button. After pressing the start button of the fully automatic visual acuity meter 161, the visual acuity test is automatically started when the subject looks into the screen. In the visual acuity measurement unit 160 of the second embodiment, the tact switch 162 detects that the start button has been pressed, and the control unit 510 outputs to the liquid crystal panel 525, for example, "Measurement will start. Please look into it with both eyes.” is displayed. By viewing the display on the liquid crystal panel 525, the subject can measure the visual acuity without confusion.
Also in the visual acuity measurement unit 160, if the subject performs an operation before returning to the zero point, the retry may be notified in the same way as the height and weight scale 141 does.

FIG. 10 is a schematic diagram of the audiometry unit 170 of the medical examination vehicle 100 of the second embodiment. As shown in the figure, the system of the hearing measurement unit 170 includes a fully automatic hearing tester 171 , a tactile switch 172 retrofitted on the start button of the fully automatic hearing tester 171 , and a control unit 510 . It is preferable to select a tact switch 172 that turns on with approximately the same force (eg, 1.27 N) as the start button. When the start button is pressed in the fully automatic hearing test device 171, the hearing test is automatically started. In the audiometry unit 170 of the second embodiment, the tact switch 172 detects that the start button has been pressed, and the control unit 510 outputs to the liquid crystal panel 525, for example, "Press the button in your hand when you hear a sound. please give me. ] is displayed. By viewing the display on the liquid crystal panel 525, the subject can measure the visual acuity without confusion.
Also in the hearing measurement unit 170, if the subject performs an operation before returning to the zero point, the hearing measurement unit 170 may be notified of redoing in the same manner as the height and weight scale 141.

In the above explanation, the explanation to the person being examined is displayed on the liquid crystal panel 525, but the directional speaker 550 may be used to notify the explanation.
In addition, the hearing measurement unit 170 cannot notify with sound. Further, for example, in the audiometry unit 170 or the like, if the button lights up when the start button is pressed, an optical sensor may be used instead of the tactile switch 172 .

(Self-checkup system in the third embodiment)
The third embodiment will be described below.
The health checkup system of the second embodiment is a health checkup system for allowing a person to be examined to smoothly perform a self-checkup in the health checkup vehicle 100. However, the self-checkup system of the third embodiment , other than the health checkup vehicle 100, for example, a health checkup system for smooth self-checkup in on-site health checkups and in-house health checkups.
FIG. 11 is a schematic diagram showing an example of the arrangement of health checkup facilities 400 according to the third embodiment. As shown in the figure, the health checkup facility 400 includes a self health checkup unit 410 including a body measurement unit 140, a blood pressure measurement unit 150, a visual acuity measurement unit 160, and a hearing measurement unit 170; , a blood collection unit 210 , and a diagnosis unit 220 . Although not shown in FIG. 11, the health checkup facility 400 may further include an inquiry input area 130, a chest X-ray measurement unit 180, and the like.
In the case of on-site health checkups, all health checkup units such as the physical measurement unit 140 are movable, and the chest X-ray measurement unit 180 is usually a chest X-ray vehicle.

In the self-checkup unit 410 of the health checkup facility 400 of the third embodiment, as in the health checkup system of the second embodiment, the pressure sensor 142 for detecting that the subject has operated the medical device, the light The sensor 152, the tactile switch 162, or the tactile switch 172 is retrofitted to the height and weight scale 141, the fully automatic blood pressure monitor 151, the fully automatic vision meter 161, or the fully automatic hearing test device 171, and the sensor is attached to the subject. When a user's operation on the medical equipment is detected, the control unit 510 displays an explanation corresponding to the operation on the liquid crystal panel 525 or notifies it by the directional speaker 550 .

As described above, since the medical examination vehicle 100 according to the present embodiment has the extension mechanism 300, general medical examination can be easily performed. Further, since the medical examination vehicle 100 has an optimum weight balance, it is possible to maintain high operability and mobility.
Furthermore, since the number of staff members of the medical examination vehicle 100 can be handled by one doctor and a total of four staff members A, B, and C, medical examinations can be carried out efficiently.
In addition, since the number of staff can be reduced, cost reduction can be realized.
Further, in the health checkup systems according to the second embodiment and the third embodiment, the subject can smoothly perform a self-checkup.

In the present invention, the extension mechanism 300 corresponds to the "movable extension mechanism", the chest X-ray measurement unit 180 corresponds to the "roentgen measurement unit", and the electrocardiogram measurement unit 190 corresponds to the "electrocardiogram measurement unit". The medical examination vehicle 100 corresponds to the "medical examination vehicle", the column 610 corresponds to the "plurality of columns", the spatial space AR corresponds to the "spatial space", and the actuator 590 corresponds to the "actuator". , the control unit 510 corresponds to the “control unit”, the body measurement unit 140, the blood pressure measurement unit 150, the visual acuity measurement unit 160, and the hearing measurement unit 170 correspond to “one or more regions”, and whether or not to enter the room The notification unit 560 corresponds to the "optical notification unit", the pressure sensor 142, the optical sensor 152, and the tactile switches 162 and 172 correspond to the "sensors", the liquid crystal panel 525 corresponds to the "description display unit", and the directivity The speaker 550 corresponds to the "sound notification unit".

While several embodiments of the invention have been described, these embodiments are provided by way of example and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and modifications can be made without departing from the scope of the invention. These embodiments and their modifications are included in the scope and spirit of the invention, as well as the scope of the invention described in the claims and equivalents thereof.

100 medical examination car 140 physical measurement unit 142 pressure sensor 150 blood pressure measurement unit 152 optical sensor 160 visual acuity measurement unit 162 tact switch 170 hearing measurement unit 172 tact switch 180 chest X-ray measurement unit 190 electrocardiogram measurement unit 300 extension mechanism 510 control unit 525 liquid crystal Panel 550 Directional Speaker 560 Room Entry Notification Unit 590 Actuator 610 Column AR Spatial Space

Claims (7)

A medical examination vehicle comprising a vehicle capable of moving on a road and self-propelled ,
A movable extension mechanism is arranged to move from the central portion of the vehicle in the lateral width direction,
An X -ray measurement unit that needs to be surrounded by a lead plate is arranged at the rear of the vehicle in the direction of travel,
A generator that requires weight is arranged in the front part of the vehicle in the direction of travel to maintain the weight balance of the vehicle,
A plurality of detachable enterable areas are formed in the central part of the vehicle where the movable extension mechanism is provided,
each of the plurality of enterable areas is provided with a device that allows the subject to measure himself/herself;
At least one medical examination unit provided in the vehicle and selected from the group consisting of a physical measurement unit, a blood pressure measurement unit, a visual acuity measurement unit, an audiometry unit, a blood sampling unit, and an examination unit, an electrocardiogram measurement unit, and an X-ray measurement. including the part and
The extension mechanism moves in the width direction at least a central portion of the vehicle including a floor panel, a side wall, and a ceiling panel,
The movable extension mechanism is
a plurality of pillars horizontally provided to protrude laterally from the central portion of the vehicle;
an actuator for moving a plurality of struts in the extension mechanism;
a rail portion that slides the support in a horizontal direction;
a controller for operating the actuator,
The control unit drives the actuator to slide the plurality of columns along the rail portion so that the center portion protrudes laterally to expand a space in the vehicle,
Furthermore, a doorway for the subject is provided, the doorway is provided in front of the position of the extension mechanism in the traveling direction,
The medical examination vehicle, wherein the electrocardiogram measuring unit and the entrance are arranged adjacent to each other in the width direction of the vehicle. A medical examination vehicle comprising a vehicle capable of moving on a road and self-propelled ,
A movable extension mechanism is arranged to move from the central portion of the vehicle in the lateral width direction,
An X -ray measurement unit that needs to be surrounded by a lead plate is arranged at the rear of the vehicle in the direction of travel,
A generator that requires weight is arranged in the front part of the vehicle in the direction of travel to maintain the weight balance of the vehicle,
A plurality of detachable enterable areas are formed in the central part of the vehicle where the movable extension mechanism is provided,
each of the plurality of enterable areas is provided with a device that allows the subject to measure himself/herself;
At least one medical examination unit provided in the vehicle and selected from the group consisting of a physical measurement unit, a blood pressure measurement unit, a visual acuity measurement unit, an audiometry unit, a blood sampling unit, and an examination unit, an electrocardiogram measurement unit, and an X-ray measurement unit. including the part and
The medical examination vehicle, wherein the extension mechanism moves a central portion including at least a floor panel, a side wall, and a ceiling panel of the vehicle in a width direction . 2. The medical examination vehicle according to claim 1, wherein the length dimension of said plurality of columns is equal to the width dimension of said vehicle and provided along the width direction. In any one of the health checkup unit, the X-ray measurement unit, and the electrocardiogram measurement unit,
an optical notification unit that detects whether or not a person to be examined has entered a room and notifies the outside of the area using light;
a sound notification unit that notifies the subject to the area by sound from a directional speaker;
an explanation display unit for instructing the person to be examined to move,
The X-ray measurement unit is a chest X-ray measurement unit, the air conditioner is a ceiling-embedded type in the center of the vehicle, the outdoor unit of the air conditioner is placed on the floor, and the outlet of the air conditioner 3. The medical examination car according to claim 1, which is arranged on the ceiling of the department. At least one of the medical examination units includes a retrofitted sensor that detects the operation of the medical examinee on the medical device, the sound notification unit and/or the explanation display unit, and a control unit,
5. When the sensor detects an operation of the medical device by the subject, the control unit displays an explanation corresponding to the operation on the explanation display unit or notifies from the sound notification unit. Health checkup car described in . 6. A health checkup system using the health checkup vehicle according to claim 1, wherein self-checkup is performed for a part of a plurality of health checkup items. Using the medical examination vehicle according to any one of claims 1 to 5, medical equipment and a control unit for controlling the medical equipment are provided in at least one of the self-examination units in which the person being examined can measure himself/herself. , a retrofitted sensor that detects the operation of the medical examinee on the medical device, and a sound notification unit and/or an explanation display unit,
When the sensor detects an operation of the medical examinee on the medical device, the control unit displays an explanation corresponding to the operation on the explanation display unit, or notifies from the sound notification unit. health checkup system.

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